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    <meta charset="UTF-8">
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    <title>Document</title>
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    <table border="1">
      <form>
          <caption><h3>大学生心理健康调查表</h3></caption>
          <tr>
              <td>姓名</td>
              <td>
                  <input type="text" name="xm" required="required"/>
              </td>
          </tr>
          <tr>
              <td>性别</td>
              <td>
                  <label> <input type="radio" name="xb" checked="checked">男</label>
                  <label> <input type="radio" name="xb">女</label>
              </td>
          </tr>
          <tr>
              <td>邮箱</td>
              <td>
                  <input type="email" name="email" placeholder="请填写真实邮箱"/>
              </td>
          </tr>
          <tr>
              <td>年龄</td>
              <td>
                  <input type="number" name="age"/>
              </td>
          </tr>
          <tr>
              <td>籍贯</td>
              <td>
                  <select name="jg">
                      <option value="henan" checked="checked">河南</option>
                      <option value="hebei">河北</option>
                      <option value="shanghai">上海</option>
                  </select>
              </td>
          </tr>
          <tr>
              <td>出生日期</td>
              <td>
                  <input type="date" name="rq"/>
              </td>
          </tr>
          <tr>
              <td>上传身份正反面</td>
              <td>
                  <input type="file" name="sfz" multiple/>
              </td>
          </tr>
          <tr>
              <td><h3>多选题</h3></td>
              <td></td>
          </tr>
          <tr>
              <td>下列哪些因素属于危险性行为因素</td>
              <td>
                 <label>
                     <input type="checkbox" name="wxys" value="在过大压力下生活">在过大压力下生活</label><br>
                     <input type="checkbox" name="wxys" value="吸烟">吸烟</label><br>
                     <input type="checkbox" name="wxys" value="暴力">暴力</label><br>
                     <input type="checkbox" name="wxys" value="跑步">跑步</label><br>
                  
              </td>
          </tr>
          <tr>
              <td></td>
              <td>简述大学生心理健康的标准<br>
                <textarea name="wbk" cols="30" rows="5" placeholder="此处答题，字迹工整"></textarea>
            </td>
          </tr>
          <tr>
              <td></td>
              <td>
                  <input type="checkbox" checked="checked">我承诺填写均为真实情况
                  <a href="2.html" target="_blank">详细条款</a>
              </td>
          </tr>
          <tr>
            <td></td>
            <td>
                <input type="image"src="image/btn.png" >
                <input type="reset" name="chongzhi">
            </td>
        </tr>
      </form>
    </table>
</body>
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